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Home My WebLink About106 BROOKLINE LN - Building PermitsPROJECT AGGRESS: 106 BROOKLINE LN UNIT: OWNER'S NAME: ARNOLD, DAVID C ADDRESS: ARNOLD KATHLEEN M 21292 AVENIDA NUBES EL TORO,CA 92630 ARCHIENGINEER: REG.lf ADDRESS: UNIT: PERMITTEE: STOUT ROOFING INC (310)923-6775 ADDRESS: P O BOX 4309 DOWNEY CA 90241 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in lull force and effect. CITY UC:�0[5,�93�(77 STATELIC.:402536� Cuss: C 3`�: 10/95 Date'. _�.Q I Lq L Signature: WORKERS' ON PENSATION DECLARATION: I hereby affirm that I have a cenificate of consent to self -insure or a certificate of Workers' Compensation I u((�� e o a �jtified copy thereof (Section 3800, Lab. 65/19/95 POLICY NO.: R 2� l EXP. DATE: 6 5/ 1 9/ 9 5 COMPANY: AIG ❑ Certified copy is hereby furnished. LS Cendled copy is fired with the city Building Division. Date: 101 A 11 q Applicant. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I certily that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature. NOTICE: 11, after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: t hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS OWNER BUILDER DECLARATION: I hereby affirm that) am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for Such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7D00) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). h as owner of the property or my employees with wages as their sole compensation, will do the work, and the El structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his of her own employees, provided that such improvements are not intended or altered for Sale. If, however the building or improvement is sold within one year 01 completion. the owner will have the burden of proving he/she did not build or improve for the purpose of sale). L as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s) license pursuant to the Contractors' SState License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: I do hereby certify that I am aware of and understand the 25534 and that I or any future building occupant wilNwill n permit for construction or modification Irom the Air Ouali these provisions. Owner: requirements of Calilornia Health and Safety Code Sections 25505, 25533, and of (circle one) need to comply with said state codes and the requirements lora ty Management Colonel. Residential construction applications are exempt from Date: Applicant: I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property forinspecli urposes. /' Date: 0 Signature A' Drivers License or Social Security a: 164646 While—Building', Green—Code Enforcement: Canary—Applicant; Punk—Revenue: Goldenrod—Aesessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06961 PERMIT NO: B 069615 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION ; T/O RESTH 6 REROOF W/COPM S HOT MOP SQ FT: 2,508 CLAIM VALUE: 2,508,00 CALC—VALUE; 2,508,00 GROUP OCC: R-1 / COMMENTS; REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE, REgUIRED Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REO• PROV: PARCEL: 41916340 ZNE: REF NO: PLANNING N TES> END OF FEES > kk k kkk k k kkk k k kkkk kk kkk kkk kk kkkkkkk k k k k k kkkkkk kk kitkkk k k k k k kkkk k k k kk kk kk k k k k k k k k k D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY BUILDING APPROVED BY : APPLICATION ISSUED BY: k kkkkkkkkkkkkkkkkkkkkk7��F kkkkkkkkkkkkkkkkkkkkkkkkkkkk LEGALIZATION:N DATE: DATE: 4. DATE: IO a�i k kkkkkkkkk k kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 54.00 .50 PLAN SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 54,50 0.00 0,00 54,50 54,50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54.00 .50 k if ifkkitkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkit itkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 2,508,00 END OF FEES 01 00170712-0170713 TOT =.`_ DATE: lOY26/94 TIVL. 13:35 CONSTRUCTION AND PLANNING APPROVALS Permit 46 Date Inspector POtj.. d SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrqrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd- 57. APPROVAL TO COVER-GUNITE 7, Fdotings 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test 9. 6Vater Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, C Undrgrnd. 10. Siructural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # , 20. Rough Factory Fireplace- - - 21. Ducts, in Structure' .� - •70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping C Gas C Oil 23, Gas P,pe_Rough & Test - 72. Underground Flush - 24. Roof Framing 73. 'Undergrnd. Storage Tank C Gas C Oil 25. Roof Sheathing &Wjv- 74. Overhead Hydro 26, T -Bar Ceiling 1Structurafl & Monocoat 75.' Dry Chemical ' 27. Frame and Flashing' 76. Dry Standpipe 28. Lathing.& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL '30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - ,' .79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric - l Notes: 34. Final Heating & Air Conditioning 35. 'Final Gas Pipe -Test 36. Hood or Canopy 37, Final Factory Fireplace 38. Fina4Plumbing 39. Water Service -Final , 140. Gas Service -Final 41. Solar Domestic -Final - 42. Backflow Preventer - 43. Backflow Irrigation , 44. Landscape Irrigation System 45, Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49, Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date OWNER SAN VISTA BUILDING COMPANY DATE b -1-b4 JOB ADDRESS 106 Brookline Lane BUILDING PERMIT N0.221 GENERAL CONTRACTOR same VALUE $ 14,435. oo AP No. LOT -i TRACT 5160 FIRE ZONE DESCRIPTION OF WORK Tes W att Ka INSPECTIONS I SignatureDI ATE I GROUP TR.T TYPE V ZONERR Soil �L SUBCONTRACTOR Gas - i PERMITS ISSUED NUMBER DATE Water r Rough7C m. Rele*ig. ❑ Air Cond. ❑ Rough Heating di* Rough Plumbing -/- Miscellaneous Prop. Swr. Line ❑ House Con. Q'St. Swr. ❑ I EC 9 1963 40602 Sprinkling System Construction Pole Underground ❑ Power ❑ Rough Wiring / Trenches Forms ❑ Steel Reinf. ❑ e to Floor System mr,G Bond Beam ❑ Steel Reinforce ❑ Sheathing c Frame and Flashing E, Lathing — In .p -Out e ' Plaster, brown coat Refrig. ❑ Air Con. ❑ Final ,Heating, Final Plumbing Fixtures, Final -S- L V Final Gas Test % G Electric Fixtures, Final Building,Final OCCUPANCY Berm n�y�m�s-os-a-n r =M " rVn Jrua.ar,•. au..��..r........ �— COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS 106 Brookline Lane COSTA MESA, CALIFORNIA OWNER San Vista Building Co. MAIL -Ra. 1166 E. 58th Street c,TV Los Angeles 11 Calif.rl 'AD 37187 ARCHITECT and Levanas TEL OR 37010 OR ENGINEER RaYm NO. ADDRE33 3432 Via Oporto, Newport Beach CONTRACTOR San Vista Building Co. ADDRESS 1166 E. 58th Street FEE RECEIVED my19IM FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. I 1REfIMhR7O, DATEISSUED ZONING zo s J-5 PunOFa 2BUILDIXOE VVVVV D "GAL Los 8HALL BE ESS THAN Angeles 11, California REAR FT. NOE: NO SAVE OVER SOTTO SIDE 8 REAR PI o. 192782 TEL. o. AD 37187 EAVES ALLOWED T 20 X 70 NO' OF SLOD68. O NOW N LOT YARDS APPROVED MAIN BUILDING DESCRIPTION OF WORK NEW I X II ALTERATION I II ADDITION 2 USE OF 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE T1j THE ABOVE 18 CORRECT AND AGREE TO COM. PLY WITH ALC CI ORDINANCES AND STATE LAWS REGULATING BUILDING COrYBTR ION. N�, YARDSAPPROVED ACCESSORY BUILDING REAR FT. FT. DISTANCE BET. BET. MAIN MAIN BLD S. ACCESS. SLOGS. VAR. � % DATE C. U. 1 �II APPROVED OV wwl/l u,vY �• /. —V a BYP DATE W Q < U �p I3 Ia D SO. FT. o N THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION iy O m ly PERMIT FEE Q PLAN CHECK S / l- $ / 3' 0 C